Individual
BAYLIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
206 RIDGEWOOD AVE, BRANDON, FL 33510-4617
(813) 662-1060
Mailing address
13963 SPECTOR RD APT 105, LITHIA, FL 33547-4184
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
37424
FL
Other
Enumeration date
08/09/2021
Last updated
08/09/2021
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